{"id":47498,"date":"2021-12-13T09:30:27","date_gmt":"2021-12-13T14:30:27","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=47498"},"modified":"2023-04-17T09:02:03","modified_gmt":"2023-04-17T13:02:03","slug":"living-with-migraine","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/living-with-migraine\/","title":{"rendered":"How I learned to manage my chronic migraines"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When you hear the word migraine, you might think: headache. That is, if you\u2019re fortunate enough never to have experienced one. If you\u2019re one of the <\/span><a href=\"https:\/\/migraineresearchfoundation.org\/about-migraine\/migraine-facts\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">39 million Americans<\/span><\/a><span style=\"font-weight: 400;\"> who have this neurological disease, you know it\u2019s more than just a little head or neck pain. It\u2019s a health condition that requires a specialized prevention and treatment plan. This is my journey from living with migraine to getting used to living with chronic migraine.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">My migraine diagnosis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In 2010, I was diagnosed with <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3258393\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">episodic migraine<\/span><\/a><span style=\"font-weight: 400;\">\u2014the term for people who have zero to 14 headache days a month. After the death of my father in 2014, my migraines became chronic. I had a migraine every day for four consecutive months.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">My neurologist sent me to the Cleveland Clinic\u2019s Interdisciplinary Method for the Assessment and Treatment of Chronic Headache (<\/span><a href=\"https:\/\/my.clevelandclinic.org\/-\/scassets\/files\/org\/head-neck\/imatch-factsheet.ashx\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">IMATCH<\/span><\/a><span style=\"font-weight: 400;\">) program. It was a three-week outpatient treatment plan. It helped me detox from medications I had overused and taught me lifestyle changes to prevent my migraines\u2014and their triggers\u2014along with effective treatments for when they did occur. On day number four of the program, I woke up without a migraine for the first time in almost five months.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/medication-overuse-headache\/\"><b>Medication overuse headaches, explained<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Learning how to manage migraine triggers<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Migraine health starts with figuring out your personal triggers and how to manage them. For me, these things could set off a migraine attack:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skipped meals<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caffeine withdrawal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alcohol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in weather, such as humidity, temperature, and air pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Changes in sleep schedule\u2014either sleeping too much or too little<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extended glare from a computer screen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety and\/or stress<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The biggest three for me are going too long without eating, a drop in barometric pressure (not much I can do about that), and stress. If I miss a meal, I\u2019ll feel a migraine coming on before I get hungry, so I make sure to eat regularly. I have a stressful job as a psychotherapist, but I ensure I make time to pursue what\u2019s important to me to help alleviate that.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treating migraine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">After I returned from The Cleveland Clinic, I sought out a dedicated headache specialist. She and I began to develop the treatment plan that helps me function today. I\u2019ve established a strong professional relationship with her in the seven years we\u2019ve been working together, which has improved the outcome of my migraine treatment.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medications<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medications for migraines fall into two categories: preventive and abortive.\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Preventives<\/b><span style=\"font-weight: 400;\"> are typically taken daily and work to avert migraines before they begin.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Abortive medications<\/b><span style=\"font-weight: 400;\"> are ideally taken up to 15 minutes after a migraine has started and they are meant to interrupt an attack in progress.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">My treatment regimen involves both types of medications, and also nerve blocks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One category of preventive medications is antiepileptic drugs, medications originally aimed at treating seizures. It\u2019s not fully understood how the one I take\u2014<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/topamax\"><span style=\"font-weight: 400;\">Topamax (topiramate)<\/span><\/a><span style=\"font-weight: 400;\">\u2014works for migraines. It\u2019s thought that it <\/span><a href=\"https:\/\/www.aafp.org\/afp\/2005\/1015\/p1563.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">calms overactive nerve cells<\/span><\/a><span style=\"font-weight: 400;\"> in the brain that cause migraines. Other classes of preventive medications for migraine include antihypertensives, such as beta blockers, and antidepressants, such as venlafaxine and tricyclic antidepressants. Abortive migraine medication classes include nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics, and <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/triptans\"><span style=\"font-weight: 400;\">triptans<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the last few years, the FDA approved a new class of medications for migraines called <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4187032\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">calcitonin gene-related peptide<\/span><\/a><span style=\"font-weight: 400;\"> (CGRP) antagonists (such as <a href=\"https:\/\/www.singlecare.com\/prescription\/aimovig\">Aimovig<\/a>), with some members that can be used as preventive agents and others as abortive therapy for migraines. Where older medications were developed to treat other conditions, like epilepsy, and found to be effective for migraine, these medications were designed to target what causes migraine.<\/span> <span style=\"font-weight: 400;\">Because of that, they tend to have fewer side effects than older treatments. But, they\u2019re more expensive\u2014and sometimes not covered by prescription benefits. <\/span><span style=\"font-weight: 400;\">\u201cA few of my patients are prescribed the newer migraine medications, but the insurance companies will not cover them,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/jill-mcardle-siegmund-12b890110\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jill McArdle-Siegmund, RPh B.S.<\/span><\/a><span style=\"font-weight: 400;\">, supervising pharmacist in Lake Hopatcong, New Jersey.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For me, CGRP antagonists improved my quality of life remarkably. The frequency and severity of my migraines decreased.<\/span><span style=\"font-weight: 400;\"> I no longer missed entire days of work, no longer cancelled plans at the last minute with friends and family, and the number of visits to the emergency room plummeted from several per year to none. <\/span><span style=\"font-weight: 400;\">I use <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/emgality\"><span style=\"font-weight: 400;\">Emgality<\/span><\/a><span style=\"font-weight: 400;\"> (an at home auto-injector pen), a preventive agent for episodic and chronic migraine and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/nurtec\"><span style=\"font-weight: 400;\">Nurtec<\/span><\/a><span style=\"font-weight: 400;\"> (a<\/span><span style=\"font-weight: 400;\"> pill form), which can be prescribed as both as a preventive and an abortive medication for episodic migraine.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/new-migraine-medications\/\"><b>Your guide to the newest migraine medications<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">Nerve blocks<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Based on the severity and frequency of my migraines, my headache specialist recommended trigger point and nerve block injections\u2014an in-office procedure every two weeks. After I get these injections\u2014between 15 and 20 of them in my face, the back of my head, my shoulders and upper back, my head feels as if it\u2019s been numbed with Novocaine, like at the dentist\u2019s office. <\/span><span style=\"font-weight: 400;\">\u201cThese injections work like turning off a \u2018glitching computer,\u2019\u201d says <\/span><a href=\"https:\/\/www.montefiore.org\/body.cfm?id=3110&amp;action=detail&amp;ref=4715\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Jelena Pavlovic, MD, Ph.D.<\/span><\/a><span style=\"font-weight: 400;\">, associate physician and assistant professor of neurology at the Albert Einstein College of Medicine and Montefiore Medical Center. \u201c<\/span><span style=\"font-weight: 400;\">The cycle of pain is broken by inducing numbness, the brain gets a break from processing the constant painful input, and that breaks the cycle of the migraine.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Living with chronic migraine: Life gets better<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Migraine is the third most prevalent illness and<\/span><span style=\"font-weight: 400;\"> the sixth most disabling illness in the world.<\/span> <span style=\"font-weight: 400;\">Finding a dedicated headache center and a neurologist who is trained to treat migraines gave me my life back. If you\u2019re struggling with this condition, don\u2019t give up. It can take time to find the treatment combination that works for you, but it\u2019s possible. If your healthcare provider is hitting a dead end, consult this <\/span><span style=\"font-weight: 400;\">list of <\/span><a href=\"https:\/\/migraineresearchfoundation.org\/resources\/find-a-doctor\/comprehensive-headache-centers\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">headache centers<\/span><\/a><span style=\"font-weight: 400;\">. With perseverance, lifestyle changes, and proper medication, you can live well with chronic migraines, too.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When you hear the word migraine, you might think: headache. That is, if you\u2019re fortunate enough never to have experienced one. If you\u2019re one of the 39 million Americans who have this neurological disease, you know it\u2019s more than just a little head or neck pain. It\u2019s a health condition that requires a specialized prevention [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":47510,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8318],"tags":[790,4316],"coauthors":[20873],"class_list":["post-47498","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","tag-chronic-disease","tag-migraine","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Living with migraine: One woman\u2019s story<\/title>\n<meta name=\"description\" content=\"For four months, she had a migraine every day. 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